Individual
BENJAMIN RAUDABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, AGPCNP-BC
Contact information
Practice address
1825 4TH ST, SAN FRANCISCO, CA 94143-2350
(415) 734-8394
Mailing address
1825 4TH ST, SAN FRANCISCO, CA 94143-2350
(415) 734-8394
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
689381
NY
363L00000X
Nurse Practitioner
F308129
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
NP95016956
CA
Other
Enumeration date
07/25/2016
Last updated
04/27/2026
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